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The study was conducted in an anesthesia preoperative evaluation clinic at an academic comprehensive cancer center. One hundred sixty\u2010seven high\u2010risk surgical patients with cancer\u2010related diagnoses were evaluated and discussed at a High\u2010Risk Committee (HRC) meeting to determine surgical appropriateness and optimize perioperative care. The HRC is an anesthesiologist\u2010led model for multidisciplinary review of high\u2010risk patients developed at Roswell Park Comprehensive Cancer Center. The group of high\u2010risk patients in which surgery was not performed had, on average, a greater percentage of hypertension, smoking history, dyspnea, heart failure, chronic obstructive pulmonary disease, diabetes, renal failure, and sleep apnea than the group in whom surgery was performed. Only one of 107 high\u2010risk patients who had surgery died within the first 30 days after surgery. A smaller percentage of patients died in the group that had surgery versus the group in which surgery was canceled. For all patients discussed by the HRC, the mortality was less than 2% within the first 30 days after the HRC.<\/jats:p>","DOI":"10.1002\/jhrm.21326","type":"journal-article","created":{"date-parts":[[2018,7,23]],"date-time":"2018-07-23T04:09:27Z","timestamp":1532318967000},"page":"12-23","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":20,"title":["A novel anesthesiologist\u2010led multidisciplinary model for evaluating high\u2010risk surgical patients at a comprehensive cancer center"],"prefix":"10.1002","volume":"38","author":[{"given":"Raymond","family":"Sroka","sequence":"first","affiliation":[{"name":"Roswell Park Comprehensive Cancer Center  Buffalo NY"},{"name":"Jacobs School of Medicine and Biomedical Sciences Department of Anesthesiology State University of New York at Buffalo  Buffalo NY"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emmanuel 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